Provider Demographics
NPI:1104880749
Name:TOMARO, JOHN (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:TOMARO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PIUS ST
Mailing Address - Street 2:B3
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1655
Mailing Address - Country:US
Mailing Address - Phone:412-904-3082
Mailing Address - Fax:
Practice Address - Street 1:1 PIUS ST
Practice Address - Street 2:B3
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1655
Practice Address - Country:US
Practice Address - Phone:412-904-3082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOSO12846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012614700001Medicaid
PA1012614700002Medicaid
PA095144LPKMedicare ID - Type Unspecified
PA1012614700002Medicaid
PAI43407Medicare UPIN